National Provider Identifier [NPI]: |
1942551262 |
Last Name Of The Provider |
SARGENT |
First Name Of The Provider |
NORA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
978 BOYLSTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEWTON |
Zip Code Of The Provider |
024611504 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
449 |
Number Of Medicare Beneficiaries |
244 |
Total Submitted Charge Amount |
17826.39 |
Total Medicare Allowed Amount |
16566.73 |
Total Medicare Payment Amount |
13832.36 |
Total Medicare Standardized Payment Amount |
15160.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
5057.39 |
Total Drug Medicare AllowedAmount |
4998.11 |
Total Drug Medicare PaymentAmount |
4897.52 |
Total Drug Medicare Standardized Payment Amount |
4897.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
285 |
Number Of Medicare Beneficiaries With Medical Services |
244 |
Total Medical Submitted Charge Amount |
12769 |
Total Medical Medicare Allowed Amount |
11568.62 |
Total Medical Medicare Payment Amount |
8934.84 |
Total Medical Medicare Standardized Payment Amount |
10262.81 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
151 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
229 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
18 |
Percent Of With Diabetes |
12 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8359 |